Tara Rachelle Porterlivesay, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99422 Issued in TX

Practice address

501 N 9TH St
Temple, TX 76501-3150

Phone

(347) 476-0073

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tara Livesay Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1215538517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 9TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765013150",
            "telephone_number": "347-476-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 9TH ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765013150",
            "telephone_number": "347-476-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERLIVESAY",
        "first_name": "TARA",
        "middle_name": "RACHELLE",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "TX",
            "license": "99422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara.livesay@heartlineministries.org",
            "affiliation": "N",
            "endpointDescription": "secure professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "501 N 9th St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765013150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "LIVESAY",
            "credential": "CPM, LM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Port for the Sole Podiatry PLLC
• Andrew Wade Porter, MD
• Emily Ann Porter, M.D.
• Jaylon J Porter, PT
• Wendell Keith Porter, RDH
• Juan G. Posada, M.D.
• Matthew Neal Posey
• Herman B. Poteet, MD
• Kristina Brooke Potell, PT, DPT
• Sriravali Potluri

• Midwife in Temple, TX
• Providers in Temple, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.